CT abdomen and pelvis with contrast at Big Sky Medical Center. CPT 74177.
What Big Sky Medical Center publishes for this service, straight from its standard-charges file, last updated November 19, 2024.
Outpatient / ER
$4,226cash price (self-pay)
$5,283list price
$306–$392range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare West | HMOPPO | $306 |
| Advantra Freedom | MedicareAdvantage | $392 |
| Todays Options | MedicareAdvantage | $392 |
| Humana | MedicareAdvantagePPOHMOPFFS | $392 |
| Blue Cross Blue Shield Of Montana | MedicareAdvantage | $392 |
| Tricare West VA | VeteransAffair | $392 |
| Secure Horizons | MedicareAdvantage | $392 |
| Cigna | AdvantraAdvantage | $392 |
| Kaiser | MedicareAdvantage | $392 |
| Unicare | MedicareAdvantage | $392 |
| Sterling Option 1 | MedicareAdvantage | $392 |
| Pacificare Life And Health | MedicareAdvantage | $392 |
| Pyramid | MedicareAdvantage | $392 |
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